Gastroesophageal reflux disease in patients with long standing type 1 diabetes mellitus: utility of two self-report questionnaires in a multifactorial disease
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| Format: | Artículo científico |
| Language: | en |
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Universidad del Valle
2017
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| author | Emmanuel Marin Valdez-Solis |
| author_facet | Emmanuel Marin Valdez-Solis |
| contents | Gastroesophageal reflux disease in patients with long standing type 1 diabetes mellitus: utility of two self-report questionnaires in a multifactorial disease Emmanuel Marin Valdez-Solis Claudia Ramírez-Rentería Aldo Ferreira-Hermosillo Mario Molina-Ayala Victoria Mendoza-Zubieta Víctor Rodríguez-Pérez Medicina Gastroesophageal reflux type 1 diabetes mellitus surveys and questionnaires Background: Gastroesophageal pathologies are common and multifactorial in patients with type 1 diabetes (T1DM). The evaluation with endoscopy and 24 h pH esophageal monitoring is expensive and not always available in all medical centers, especially in developing countries so more cost-effective algorithms for diagnosis are required. Clinical questionnaires are easy to apply but its utility for gastroesophageal reflux disease screening in patients with long standing T1DM must be analyzed. Objective: To evaluate the utility of the FSSG and Carlsson-Dent (CDQ) questionnaires to detect the frequency of gastroesophageal reflux disease in patients with T1DM. Methods: Analytic cross-sectional study, included 54 randomly selected patients from the T1DM clinic in our hospital. Before their routine evaluation, were asked to answer FSSG and CDQ questionnaires, classifying them as positive with a score >8 or >4, respectively. we associated and compared the clinical and biochemical characteristics between patients with or without gastroesophageal reflux detected through questionnaires. Results: Median age was 29 years (22-35), 67% were female (median of 16 years from diagnosis). In 39% of the patients FSSG was positive, CDQ was positive in 28%. A total of 71% of patients were taking medications to treat non-specific gastric symptoms. The concordance between questionnaires was 65% (p: <0.001). Those patients with tobacco consumption as well as those with poor glycemic control were more likely to score positive in either questionnaire. Conclusions: Patients T1DM had a high prevalence of gastroesophageal reflux disease. In those patients FSSG questionnaire detected a higher number of patients in comparison with CDQ. 2017 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28353727005 https://www.redalyc.org/journal/283/28353727005/ https://www.redalyc.org/journal/283/28353727005/html/ https://www.redalyc.org/journal/283/28353727005/28353727005.epub https://www.redalyc.org/journal/283/28353727005/movil 10.25100/cm.v48i3.2801 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.3 Vol.48 |
| format | Artículo científico |
| id | redalyc_28353727005 |
| institution | Redalyc |
| language | en |
| publishDate | 2017 |
| publisher | Universidad del Valle |
| spellingShingle | Gastroesophageal reflux disease in patients with long standing type 1 diabetes mellitus: utility of two self-report questionnaires in a multifactorial disease Emmanuel Marin Valdez-Solis Medicina Gastroesophageal reflux type 1 diabetes mellitus surveys and questionnaires Gastroesophageal reflux disease in patients with long standing type 1 diabetes mellitus: utility of two self-report questionnaires in a multifactorial disease Emmanuel Marin Valdez-Solis Claudia Ramírez-Rentería Aldo Ferreira-Hermosillo Mario Molina-Ayala Victoria Mendoza-Zubieta Víctor Rodríguez-Pérez Medicina Gastroesophageal reflux type 1 diabetes mellitus surveys and questionnaires Background: Gastroesophageal pathologies are common and multifactorial in patients with type 1 diabetes (T1DM). The evaluation with endoscopy and 24 h pH esophageal monitoring is expensive and not always available in all medical centers, especially in developing countries so more cost-effective algorithms for diagnosis are required. Clinical questionnaires are easy to apply but its utility for gastroesophageal reflux disease screening in patients with long standing T1DM must be analyzed. Objective: To evaluate the utility of the FSSG and Carlsson-Dent (CDQ) questionnaires to detect the frequency of gastroesophageal reflux disease in patients with T1DM. Methods: Analytic cross-sectional study, included 54 randomly selected patients from the T1DM clinic in our hospital. Before their routine evaluation, were asked to answer FSSG and CDQ questionnaires, classifying them as positive with a score >8 or >4, respectively. we associated and compared the clinical and biochemical characteristics between patients with or without gastroesophageal reflux detected through questionnaires. Results: Median age was 29 years (22-35), 67% were female (median of 16 years from diagnosis). In 39% of the patients FSSG was positive, CDQ was positive in 28%. A total of 71% of patients were taking medications to treat non-specific gastric symptoms. The concordance between questionnaires was 65% (p: <0.001). Those patients with tobacco consumption as well as those with poor glycemic control were more likely to score positive in either questionnaire. Conclusions: Patients T1DM had a high prevalence of gastroesophageal reflux disease. In those patients FSSG questionnaire detected a higher number of patients in comparison with CDQ. 2017 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28353727005 https://www.redalyc.org/journal/283/28353727005/ https://www.redalyc.org/journal/283/28353727005/html/ https://www.redalyc.org/journal/283/28353727005/28353727005.epub https://www.redalyc.org/journal/283/28353727005/movil 10.25100/cm.v48i3.2801 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.3 Vol.48 |
| title | Gastroesophageal reflux disease in patients with long standing type 1 diabetes mellitus: utility of two self-report questionnaires in a multifactorial disease |
| topic | Medicina Gastroesophageal reflux type 1 diabetes mellitus surveys and questionnaires |
| url | https://www.redalyc.org/articulo.oa?id=28353727005 https://www.redalyc.org/journal/283/28353727005/ https://www.redalyc.org/journal/283/28353727005/html/ https://www.redalyc.org/journal/283/28353727005/28353727005.epub https://www.redalyc.org/journal/283/28353727005/movil |